NUR 635 Final Review Questions With
All Correct Answers
First line tmt for a previously healthy person who develops CAP? -
Azirthomycin
If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort
together? - Serotonin syndrome
Hypersensitivity with Phenytoin? - 3-8 weeks after treatment can occur
(overly sensitive to this medication and have adverse reactions)
This would look like a characteristic rash, fever, leukocytosis
Carbamazepine can auto-metabolize? - YES.
This can auto-metabolize so you will end up with lower levels
If a patient has been in range, and nothing has changed, it is due to this
mediation auto-metabolizing so the levels are lower despite them taking
medication with compliance
INCREASE the dose
Carbamazepine black box? - Steven Johnsons Syndrome
Carbamazepine monitoring - Monitor a CBC, every 3-4 months to watch for
agranulocytosis
Gabapentin - This affects GABA, and is used to treat neurontin pain
When you drink alcohol there are more GABA production
A patient is on gabapentin and having strange thoughts, what do you need
to ask them? - You need to ask about suicidal ideation
,Worried about a patient having a reaction to lamotrigine? - This has a high
risk for hypersensitivity
How do Lamotrigine and oral contraceptives interact? - Reduces the
lamotrigine levels thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when
prescribing them? - Cardiac disease
How long are we going to tell patients that they are going to see a response
with an SSRI? - 2-6 weeks
If you have a schizophrenic patient and you give them haldol what do you
assess for? - Extrapyramidal symptoms (EPS)
Do not need peak and trough. Should have continuous EKG but EKG will
not help monitor for EPS.
Will the beta agonist overpower the digoxin? - A beta agonist anything with
dysrhythmia will speed up the HR
Digoxin is dysrhythmic and slows down the HR.
Do we give a beta 2 agonist (albuterol) with those with a
pheochromocytoma (puts you at risk for HTN)? - NO because it will cause a
Hypertensive crisis on the adrenal glands
You have moderate persistent asthma, which medication has a black box
warning against using it as a singular agent to treat this? - You do not treat
asthma patients or should cautiously as there is an increased risk with
asthma patients when using LABA (salmeterol and formoterol)
Black box warning is that reports for severe asthma exacerbations occur
thus causing death
Spiriva - inhales anticholinergics used for the tmt of COPD
, If you prescribe someone with beclomethasone how should they use it? -
Inhaled corticosteroid
Rinse and spit after, spacers are good
USE EVERYDAY, this is not a PRN inhaler
Montelukast(singular) side effects? - Aggression, anxiety, depression and
suicidal ideation are mental health issues when taking this medication
How are we going to get an elderly old man to not take benadryl? - Causes
urinary retention
Why do we use the second generation antihistamines more often for
seasonal allergies? - They are more selective which makes them less
sedative
When you take calcium carbonate antacids chronically what do they put
themselves at risk for? - Kidney stones
Patients on long term PPI (can create osteoporosis through calcium
decrease absorption) can also have what else occurs? - Iron deficiency
Vitamin B12 deficiency
anemia
osteoporosis
Methylnaltrexone is used to treat? - Opioid induced constipation
If you give an elderly patient lactulose every day what do you need to
monitor? - Electrolytes
Inappropriate use of antimicrobials? - Creates resistance to the
medications
All Correct Answers
First line tmt for a previously healthy person who develops CAP? -
Azirthomycin
If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort
together? - Serotonin syndrome
Hypersensitivity with Phenytoin? - 3-8 weeks after treatment can occur
(overly sensitive to this medication and have adverse reactions)
This would look like a characteristic rash, fever, leukocytosis
Carbamazepine can auto-metabolize? - YES.
This can auto-metabolize so you will end up with lower levels
If a patient has been in range, and nothing has changed, it is due to this
mediation auto-metabolizing so the levels are lower despite them taking
medication with compliance
INCREASE the dose
Carbamazepine black box? - Steven Johnsons Syndrome
Carbamazepine monitoring - Monitor a CBC, every 3-4 months to watch for
agranulocytosis
Gabapentin - This affects GABA, and is used to treat neurontin pain
When you drink alcohol there are more GABA production
A patient is on gabapentin and having strange thoughts, what do you need
to ask them? - You need to ask about suicidal ideation
,Worried about a patient having a reaction to lamotrigine? - This has a high
risk for hypersensitivity
How do Lamotrigine and oral contraceptives interact? - Reduces the
lamotrigine levels thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when
prescribing them? - Cardiac disease
How long are we going to tell patients that they are going to see a response
with an SSRI? - 2-6 weeks
If you have a schizophrenic patient and you give them haldol what do you
assess for? - Extrapyramidal symptoms (EPS)
Do not need peak and trough. Should have continuous EKG but EKG will
not help monitor for EPS.
Will the beta agonist overpower the digoxin? - A beta agonist anything with
dysrhythmia will speed up the HR
Digoxin is dysrhythmic and slows down the HR.
Do we give a beta 2 agonist (albuterol) with those with a
pheochromocytoma (puts you at risk for HTN)? - NO because it will cause a
Hypertensive crisis on the adrenal glands
You have moderate persistent asthma, which medication has a black box
warning against using it as a singular agent to treat this? - You do not treat
asthma patients or should cautiously as there is an increased risk with
asthma patients when using LABA (salmeterol and formoterol)
Black box warning is that reports for severe asthma exacerbations occur
thus causing death
Spiriva - inhales anticholinergics used for the tmt of COPD
, If you prescribe someone with beclomethasone how should they use it? -
Inhaled corticosteroid
Rinse and spit after, spacers are good
USE EVERYDAY, this is not a PRN inhaler
Montelukast(singular) side effects? - Aggression, anxiety, depression and
suicidal ideation are mental health issues when taking this medication
How are we going to get an elderly old man to not take benadryl? - Causes
urinary retention
Why do we use the second generation antihistamines more often for
seasonal allergies? - They are more selective which makes them less
sedative
When you take calcium carbonate antacids chronically what do they put
themselves at risk for? - Kidney stones
Patients on long term PPI (can create osteoporosis through calcium
decrease absorption) can also have what else occurs? - Iron deficiency
Vitamin B12 deficiency
anemia
osteoporosis
Methylnaltrexone is used to treat? - Opioid induced constipation
If you give an elderly patient lactulose every day what do you need to
monitor? - Electrolytes
Inappropriate use of antimicrobials? - Creates resistance to the
medications
